- Rush University Medical Center (Chicago, IL)
- …and/or reduce denials. 3. Reviews charge information submitted by certified coders, claim forms, and insurance correspondence to determine if coding, billing, ... feedback and focused educational programs on the results of auditing, review claim denials pertaining to coding, and implement corrective action plans. Exemplifies… more
- CVS Health (Chicago, IL)
- …+ Collecting, organizes, and analyzes large volumes of data related to insurance policies, claims , demographics, and other relevant factors. + Develops ... and share results of analysis with management. + Reserve Analysis: Analyze claim data and monitor reserve levels for appropriateness and demonstrate an understanding… more
- Trinity Health (Westchester, IL)
- …involves proactive communication with patients, third-party payers, and insurance companies (including Medicare/Medicaid) to resolve outstanding balances, ... investigate claim denials, and take corrective actions. The position requires...and Managed Care to gather necessary information and ensure claims are processed efficiently. **Key Responsibilities:** + Proactively follow… more
- KPH Healthcare Services, Inc. (Hoffman Estates, IL)
- …outstanding balances. **Responsibilities** + Manage the collection process for outstanding claims , including contacting insurance companies, patients, and other ... written correspondence. + Investigate and resolve denied or partially paid claims , identifying root causes and implementing corrective actions. + Collaborate with… more
- Superior Ambulance Service (Elmhurst, IL)
- …in maximum cash collections for our clients. Specific tasks include resolving insurance carrier denials, appealing claims , contacting carriers on open accounts ... to the exceptional, compassionate customer service provided by our employees. Insurance Follow-up Representative The primary purpose of the Accounts Receivable team… more
- R1 RCM (Chicago, IL)
- …As our Denials & AR Analyst I, you will help R1 clients by analyzing claims information so that they can resolve complex accounts. Every day, you will conduct root ... cause analysis to craft appeal letters to resolve any insurance company medical denials. To thrive in this role,...Prior Denials or AR experience in Hospital or Physician claims and experience working in a production-based environment is… more
- Snapsheet (IL)
- …Location: [Remote] Job Type: [Full-time] About Snapsheet: Snapsheet exists to simplify claims . We leverage our expertise in virtual estimating and innovative ... claims management technology, transforming the end-to-end claims ...You'll work with an assignment engine algorithm that considers claim attributes to assign work and add it to… more
- Zurich NA (Schaumburg, IL)
- …of claim operations and outcomes. + Maintaining and improving existing claims dashboards and automating reporting. + Creating claim staffing models and ... an intellectually curious Finance Analytics Specialist to join the Claims Finance team, located at our North American headquarters...in the Accounting or Finance areaOR + Zurich Certified Insurance Apprentice with 4 or more years of experience… more
- Sedgwick (Chicago, IL)
- …Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Leave of Absence Coordinator **Leave of Absence Representative** **Our teams ... payments and/or adjustments for client paid leave plans ensuring that on-going claim management is within company service standards and industry best practices.… more
- Walgreens (Deerfield, IL)
- …for verifying patient eligibility, coordinating benefits, running test claims , and determining patient coverage/responsibility for services. Handles inbound ... to all levels of inbound Pharmacy Benefit Manager (PBM) and major medical insurance related phone calls. + Resolves questions and problems submitted by customers and… more